Intraoperative Transesophageal Echocardiography: 5-Year Prospective Review of Impact on Surgical Management

Click, Roger L.; Abel, Martin; Schaff, Hartzell V.

doi:10.4065/75.3.241

Cited by 88 publications

(62 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Studies have documented the impact of intraoperative transesophageal echocardiography on valve surgery, with changes in the operative plan based on transesophageal echocardiography findings reported in 11% to 14% of cases and detection of problems with surgical procedure and subsequent need to return to cardiopulmonary bypass reported in 2% to 6%. [923][924][925][926] Other important aspects of transesophageal echocardiography during valve surgery include assessment of ventricular function and detection of intracardiac air and aortic dissection.…”

Section: Valve Selection For Women Of Childbearing Agementioning

confidence: 99%

2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease

Bonow¹,

Carabello²,

Chatterjee³

et al. 2008

Circulation

916

259

View full text Add to dashboard Cite

Section: Valve Selection For Women Of Childbearing Agementioning

confidence: 99%

2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease

Bonow¹,

Carabello²,

Chatterjee³

et al. 2008

Circulation

916

259

View full text Add to dashboard Cite

“…1,2 Several investigators have documented its benefits in the critically ill patient and complex cardiovascular surgery. 3,4,5 Two recent retrospective analyses, related to alterations during routine cardiac surgery from intra-operative TOE, have also suggested its cost-effectiveness. 6,7 In 1996 an American Society of Anesthesiologists/Society of Cardiovascular Anesthesiologists Task Force published practice guidelines on the indications for intra-operative TOE.…”

Section: Introductionmentioning

confidence: 99%

Intra-operative echocardiography assessment of ventricular function

Swanevelder

2008

Southern African Journal of Anaesthesia and Analgesia

View full text Add to dashboard Cite

Quantification of ventricular function, and in particular contractility, is the holy grail of intraoperative haemodynamic assessment. Over the past twenty-five years echocardiography technology has improved tremendously and intra-operative transoesophageal echocardiography (TOE) has become the gold standard cardiac monitor and diagnostic tool. There is a perception that intra-operative TOE provides valuable information that significantly influences clinical management and improves patient outcome. A TOE examination may provide vital information quicker and less invasive than the pulmonary artery catheter or any other haemodynamic monitor. Systolic and diastolic function of the left and right ventricles can visually be evaluated. Many echocardiography indices have been validated to also quantify function in a more objective way. Valvular and any other cardiac pathology can be excluded during a routine TOE examination. Ventricular wall motion abnormalities have been shown to be a highly sensitive indicator of regional myocardial ischaemia. A regional wall motion abnormality appears almost instantly after the onset of ischaemia in a specific segment and is detectable by echocardiography. As with many interventions, a full understanding of the limitations and possible artefacts is required. In future newer modalities like tissue Doppler imaging, strain rate, and contrast echocardiography will play an important role in the intraoperative assessment of ventricular function. 3D TOE is another brand new and exciting introduction to our perioperative practice. Perioperative echocardiography is here to stay and will fulfil a vital role for today's anaesthetist.

show abstract

“…TEE has been reported to be a useful tool in the intraoperative management of cardiac surgical patients and some have advocated its use in all cardiac surgical patients. [9][10][11][12] In particular Click et al reviewed 3,245 intraoperative TEE examinations and found that new information was found before bypass in 15% of patients, directly affecting surgery in 14% of patients. The use of TEE in the critical care setting has also been increasing and it is frequently used to aid diagnosis and management of patients with acute hemodynamic disturbance.…”

Section: Clinical Impact Of Teementioning

confidence: 99%

Des diagnostics cliniques et échocardiographiques contradictoires dans des cas d’instabilité hémodynamique inexpliquée à la suite d’une intervention en cardiochirurgie

Wake

Ali

Carroll

et al. 2001

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

show abstract

Intraoperative Transesophageal Echocardiography: 5-Year Prospective Review of Impact on Surgical Management

Cited by 88 publications

References 27 publications

2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease

2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease

Intra-operative echocardiography assessment of ventricular function

Des diagnostics cliniques et échocardiographiques contradictoires dans des cas d’instabilité hémodynamique inexpliquée à la suite d’une intervention en cardiochirurgie

Contact Info

Product

Resources

About